Provider Demographics
NPI:1003500067
Name:PITTS, DAVID JR (DO)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:PITTS
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3314 GREENCASTLE RD
Mailing Address - Street 2:
Mailing Address - City:BURTONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20866-1714
Mailing Address - Country:US
Mailing Address - Phone:301-575-6771
Mailing Address - Fax:
Practice Address - Street 1:3314 GREENCASTLE RD
Practice Address - Street 2:
Practice Address - City:BURTONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20866-1714
Practice Address - Country:US
Practice Address - Phone:301-575-6771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program